The TRICARE Retail Refund Team distributed a draft TRICARE Retail Refund Program Manufacturer Policy and Procedures Guide and corresponding Feedback Form on Friday, February 6, 2015. Manufacturers were asked to submit feedback no later than close of business today, Friday, February 20, 2015. Click here to view the comments...

If you are a manufacturer, you may have seen a recent letter or email from the state of Maine regarding the annual $500 fee. This program was put in place in 2011 due to the reduced funding in the drug trial and drug marketing programs, which was partially offset...

The Defense Health Agency hosted a TRICARE Webinar on Thursday, January 29, 2015. The webinar focused on high level components of the TRICARE Retail Refund program. The highlight of the call was DHA’s announcement of a new, formal Manufacturer Policy and Procedures Guide and the agency’s request for comments...

Many states are in the process of reviewing and adjusting their reimbursement methodologies. North Carolina announced in January that they would start using NADAC (National Average Drug Acquisition Cost) as the basis of their reimbursement. If you are not familiar with the NADAC refer to the following link –...

The Defense Health Agency (DHA) hosted a TRICARE Webinar for manufacturers on January 29, 2015. DHA officials discussed high level/summary aspects of the TRICARE Retail Refund program, covering topics that ranged from program background to appropriate use of “Waiver” and “Compromise”. The presentation lasted less than an hour, and,...

It is nearly March again, and although spring is decidedly not in the air, it is not too early to make plans to attend the CIS Advanced GP Forum on the IIR Government Programs Summit Pre-Conference day, March 23rd. This forum has grown and evolved over the years. It...

We are in for another year of interesting updates around Medicaid Expansion. It was announced on January 27th, 2015 that the Indiana HIP 2 waiver to expand Medicaid was approved. It only took seven months of negotiations with the federal government for them to iron out what would be...

Manufacturers must report quarterly on their transfers of value made to advance practice registered nurses (APRNs) practicing in Connecticut. This group includes nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives. APRNs are excluded from the reporting obligations under the Federal Physician Payments Sunshine Act, but Connecticut passed...

The December CPI-U has fallen dramatically, which may cause manufacturers to owe additional Medicaid rebates (the industry faced a similar situation in the summer of 2012). CMS discourages manufacturers from what the government would deem to be excessive price increases by requiring manufacturers of single source and innovator multiple...